Photo of Emerson Tanney, BA, MA, CCC, Psychologist
Emerson Tanney
Psychologist, BA, MA, CCC
Verified Verified
Cochrane, AB T4C
I am a Registered Psychologist who has training and experience working with children (5-12), adolescents (12-18) and adults. I utilise a variety of therapeutic interventions and skill-building techniques to help individuals manage and overcome their challenges. Some of these include anxiety, depression, trauma, anger, behavioural issues, abuse, emotional disturbance, family conflict, grief, relationship issues and life transitions. My goal as a therapist is to help my clients make sense of their world through meaning.
I am a Registered Psychologist who has training and experience working with children (5-12), adolescents (12-18) and adults. I utilise a variety of therapeutic interventions and skill-building techniques to help individuals manage and overcome their challenges. Some of these include anxiety, depression, trauma, anger, behavioural issues, abuse, emotional disturbance, family conflict, grief, relationship issues and life transitions. My goal as a therapist is to help my clients make sense of their world through meaning.
(587) 907-5141 View (587) 907-5141
Photo of Carmel Shalom, BSCN, RN,  MCP, CCC, Counsellor
Carmel Shalom
Counsellor, BSCN, RN, MCP, CCC
Verified Verified
1 Endorsed
Cochrane, AB T4C
I have been a nurse since 1984 and completed my master's of psychology in 2019. Since then I have continued my studies for a doctorate in psychology and I have a private practice. I use my unique position as a nurse and psychotherapist to promote a holistic approach, meeting clients where they are, seeking to understand their situation and what brought them to therapy. I am passionate about collaborating with clients to explore their challenges, strengths, goal setting, and practical skill development. I aim to create a space to support clients as they discover a life that is more meaningful to them.
I have been a nurse since 1984 and completed my master's of psychology in 2019. Since then I have continued my studies for a doctorate in psychology and I have a private practice. I use my unique position as a nurse and psychotherapist to promote a holistic approach, meeting clients where they are, seeking to understand their situation and what brought them to therapy. I am passionate about collaborating with clients to explore their challenges, strengths, goal setting, and practical skill development. I aim to create a space to support clients as they discover a life that is more meaningful to them.
(587) 871-8449 View (587) 871-8449
Photo of Cindy Comeau, Counsellor
Cindy Comeau
Counsellor
Verified Verified
4 Endorsed
Online Only
I have had the privilege of supporting individuals from diverse backgrounds through a wide range of challenges, including mindset, communication, boundaries, core beliefs, goal setting, life transitions, anxiety, depression, trauma, grief, and cultivating mindfulness.
I have had the privilege of supporting individuals from diverse backgrounds through a wide range of challenges, including mindset, communication, boundaries, core beliefs, goal setting, life transitions, anxiety, depression, trauma, grief, and cultivating mindfulness.
(587) 812-4513 View (587) 812-4513
Photo of Marggie Marks, MSW, RSW, Clinical Social Work/Therapist
Marggie Marks
Clinical Social Work/Therapist, MSW, RSW
Verified Verified
3 Endorsed
Cochrane, AB T4C
Life transitions and expectations can be overwhelming. Maybe you are wearing many hats and feel like you've lost yourself balancing everyone else's needs. Or perhaps the losses you have faced are so heavy that it feels almost impossible to take the next step. I have over a decade of experience supporting individuals and families from diverse backgrounds who face challenges with relationships, grief or parenting. My experience includes supporting first and second-generation immigrants and mixed-raced individuals from a cross-cultural lens that addresses Identity, belonging, and intergenerational healing.
Life transitions and expectations can be overwhelming. Maybe you are wearing many hats and feel like you've lost yourself balancing everyone else's needs. Or perhaps the losses you have faced are so heavy that it feels almost impossible to take the next step. I have over a decade of experience supporting individuals and families from diverse backgrounds who face challenges with relationships, grief or parenting. My experience includes supporting first and second-generation immigrants and mixed-raced individuals from a cross-cultural lens that addresses Identity, belonging, and intergenerational healing.
(587) 801-7269 View (587) 801-7269
Photo of Justine VanderWijn, MC, CCC, Counsellor
Justine VanderWijn
Counsellor, MC, CCC
Verified Verified
2 Endorsed
Cochrane, AB T4C
I have a special passion for working with creatives (artists, musicians, writers, innovators) and highly empathic people who often also struggle with anxiety, ADHD, addiction, depression, and more. Navigating life as a creative and sensitive person can be challenging, but I believe that everyone has the innate ability to overcome these challenges and lead fulfilling lives.
I have a special passion for working with creatives (artists, musicians, writers, innovators) and highly empathic people who often also struggle with anxiety, ADHD, addiction, depression, and more. Navigating life as a creative and sensitive person can be challenging, but I believe that everyone has the innate ability to overcome these challenges and lead fulfilling lives.
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Photo of Sandie G Hucal, MD
Sandie G Hucal
MD
Verified Verified
Online Only
Make the second half of your life matter! It’s time to let go of what others think or expect, endlessly trying to prove your worth, "saving" others at your own expense, and roles that keep you stuck- so you can discover what matters most to you, and find the freedom to be your quirky, awesome self!
Make the second half of your life matter! It’s time to let go of what others think or expect, endlessly trying to prove your worth, "saving" others at your own expense, and roles that keep you stuck- so you can discover what matters most to you, and find the freedom to be your quirky, awesome self!
(587) 333-9070 View (587) 333-9070
Photo of Easter Yassa - IMatter - Therapy for Creative & Intelligent Women, PhD, RPsych, Psychologist
IMatter - Therapy for Creative & Intelligent Women
Psychologist, PhD, RPsych
Verified Verified
2 Endorsed
Online Only
I provide online therapy in AB, NS, & NB to women and therapists dealing with anxiety, trauma (single incident, complex, attachment, & family of origin), perfectionism, fertility issues, and the painful legacy of being an adult child of a narcissist. In therapy we will make space for all the parts of you and all the things you find hard to say and begin to understand how your beliefs about yourself developed in response to how you adapted to belong and survive in your life. I use psychodynamic, body-focused, mindfulness, EMDR, Flash, clinical hypnosis, and existential therapies to help you heal and get back to living well and fully.
I provide online therapy in AB, NS, & NB to women and therapists dealing with anxiety, trauma (single incident, complex, attachment, & family of origin), perfectionism, fertility issues, and the painful legacy of being an adult child of a narcissist. In therapy we will make space for all the parts of you and all the things you find hard to say and begin to understand how your beliefs about yourself developed in response to how you adapted to belong and survive in your life. I use psychodynamic, body-focused, mindfulness, EMDR, Flash, clinical hypnosis, and existential therapies to help you heal and get back to living well and fully.
(587) 418-3340 View (587) 418-3340
Photo of Michelle Nicole Kachur, MACP, Registered Provisional Psychologist
Michelle Nicole Kachur
Registered Provisional Psychologist, MACP
Verified Verified
Cochrane, AB T4C
I have an extensive personal and professional experience in childhood neurodevelopmental and genetic disorders. My areas of specialization are children, adolescents, and adults. Having worked in a school-based setting for 10 years, I strive to support families struggling with their child’s behaviour, implementing strength-based approaches to work through: academic concerns, ADHD, autism spectrum disorder, mood disorders, disruptive mood dysregulation, oppositional defiance disorder, obsessive-compulsive disorder, attachment issues, bullying, grief and loss, trauma, sleep issues, and maladaptive thinking.
I have an extensive personal and professional experience in childhood neurodevelopmental and genetic disorders. My areas of specialization are children, adolescents, and adults. Having worked in a school-based setting for 10 years, I strive to support families struggling with their child’s behaviour, implementing strength-based approaches to work through: academic concerns, ADHD, autism spectrum disorder, mood disorders, disruptive mood dysregulation, oppositional defiance disorder, obsessive-compulsive disorder, attachment issues, bullying, grief and loss, trauma, sleep issues, and maladaptive thinking.
(587) 609-5545 View (587) 609-5545
Photo of Vanessa Fata, RTC, Counsellor
Vanessa Fata
Counsellor, RTC
Verified Verified
Online Only
Welcome. If you’ve found yourself here, it may be because you’re carrying the weight of past experiences or facing challenges in your life, and I want you to know I’m grateful you’ve taken this step. As a wife and mother living in Alberta, I understand how complex life can be, and I’m here to support you as we work through those feelings and experiences together.
Welcome. If you’ve found yourself here, it may be because you’re carrying the weight of past experiences or facing challenges in your life, and I want you to know I’m grateful you’ve taken this step. As a wife and mother living in Alberta, I understand how complex life can be, and I’m here to support you as we work through those feelings and experiences together.
(587) 418-8416 View (587) 418-8416
Photo of Amanda Dewar - Strength Counselling Services, MEd, CCC, RCC, RSW, RP, Counsellor
Strength Counselling Services
Counsellor, MEd, CCC, RCC, RSW, RP
Verified Verified
1 Endorsed
Online Only
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
(587) 412-5049 View (587) 412-5049
Photo of Melanie Marsh, RPPsych, Registered Provisional Psychologist
Melanie Marsh
Registered Provisional Psychologist, RPPsych
Verified Verified
Cochrane, AB T4C
Melanie has over 12 years experience working with children, adolescence, and adults. Melanie is a Registered Provisional Psychologist with the College of Alberta Psychologists and a standing member of the Psychologists’ Association of Alberta. She holds qualifications and certificates in Non-Violent Crisis Intervention Training (NVCIT), Indigenous Cultural Safety, Decolonizing & Indigenizing Psychological Practice with Indigenous Peoples, along with Psychoeducational and Autism Spectrum Disorder Diagnostic experience.
Melanie has over 12 years experience working with children, adolescence, and adults. Melanie is a Registered Provisional Psychologist with the College of Alberta Psychologists and a standing member of the Psychologists’ Association of Alberta. She holds qualifications and certificates in Non-Violent Crisis Intervention Training (NVCIT), Indigenous Cultural Safety, Decolonizing & Indigenizing Psychological Practice with Indigenous Peoples, along with Psychoeducational and Autism Spectrum Disorder Diagnostic experience.
(587) 741-1174 View (587) 741-1174
Photo of Gillian Hutton, RCSW, Registered Social Worker
Gillian Hutton
Registered Social Worker, RCSW
Verified Verified
3 Endorsed
Cochrane, AB T4C
Gillian is committed to helping clients develop healthier relationships with themselves and others. She believes that therapy is helpful when we feel stuck in unhealthy patterns of thinking, feeling, and relating. Sometimes these patterns lead to difficulty coping with life's transitions, low mood or anxiety, unsatisfactory relationships or addictive behaviors. At times, they are the result of difficult or traumatic experience. If you are looking for someone to help you break these patterns, and develop happier more satisfying relationships, Gillian might be a fit for you
Gillian is committed to helping clients develop healthier relationships with themselves and others. She believes that therapy is helpful when we feel stuck in unhealthy patterns of thinking, feeling, and relating. Sometimes these patterns lead to difficulty coping with life's transitions, low mood or anxiety, unsatisfactory relationships or addictive behaviors. At times, they are the result of difficult or traumatic experience. If you are looking for someone to help you break these patterns, and develop happier more satisfying relationships, Gillian might be a fit for you
(587) 603-5873 View (587) 603-5873
Photo of Amy Coupland, MACP, BA, Registered Provisional Psychologist
Amy Coupland
Registered Provisional Psychologist, MACP, BA
Verified Verified
Cochrane, AB T4C
Sometimes our journey in life takes an unexpected turn, it can leave us feeling confused, angry, hopeless, and alone. It can also be exhausting trying to balance and maintain all our responsibilities. You might be a child/teen trying to navigate social media, friends, school, and life transitions; or your an adult unsure of what's next for you, struggling in a relationship, a profession, paying bills, or raising a family. I provide a non-judgmental, collaborative, and integrative approach to therapy. I incorporate evidence-based principles from a variety of therapy models to individualize treatment and prioritize your goals.
Sometimes our journey in life takes an unexpected turn, it can leave us feeling confused, angry, hopeless, and alone. It can also be exhausting trying to balance and maintain all our responsibilities. You might be a child/teen trying to navigate social media, friends, school, and life transitions; or your an adult unsure of what's next for you, struggling in a relationship, a profession, paying bills, or raising a family. I provide a non-judgmental, collaborative, and integrative approach to therapy. I incorporate evidence-based principles from a variety of therapy models to individualize treatment and prioritize your goals.
(587) 507-4839 View (587) 507-4839
Photo of Lindsay Zoeteman, MC, RPsych, Psychologist
Lindsay Zoeteman
Psychologist, MC, RPsych
Verified Verified
Cochrane, AB T4C
Not accepting new clients
Currently on Maternity Leave, Unable to accept new clients at this time.
Currently on Maternity Leave, Unable to accept new clients at this time.
(587) 410-5792 View (587) 410-5792
Photo of Janelle Turner, BA, MACP(C), Pre-Licensed Professional
Janelle Turner
Pre-Licensed Professional, BA, MACP(C)
Verified Verified
Cochrane, AB T4C
I bring a humanistic and experiential approach to therapy and am ready to meet you wherever you are at on your journey. I wholeheartedly welcome and accept clients of all ethnicities, religious backgrounds, and sexual orientations. Empathetic listening and a tailored approach will offer the support you need. I am experienced with addressing perinatal mood disorders, including postpartum depression and anxiety. I am in the final stages (practicum student) of earning a Masters of Arts in Counselling Psychology with Yorkville University, and I am dedicated and honoured to support you and your family through these sensitive times.
I bring a humanistic and experiential approach to therapy and am ready to meet you wherever you are at on your journey. I wholeheartedly welcome and accept clients of all ethnicities, religious backgrounds, and sexual orientations. Empathetic listening and a tailored approach will offer the support you need. I am experienced with addressing perinatal mood disorders, including postpartum depression and anxiety. I am in the final stages (practicum student) of earning a Masters of Arts in Counselling Psychology with Yorkville University, and I am dedicated and honoured to support you and your family through these sensitive times.
(587) 804-2549 View (587) 804-2549
Photo of Ben Hofs, Student, Pre-Licensed Professional
Ben Hofs
Pre-Licensed Professional, Student
Verified Verified
1 Endorsed
Cochrane, AB T4C
Hi, my name is Ben, and I appreciate you coming to see what I am about! Helping people has always been my passion and has guided my career and life. As an intern therapist, my approach to people is rooted in curiosity and empathy. We all have stories that deserve to be heard and new ones waiting to be told. Are you struggling in your life journey? Need help navigating relationships? Feeling stuck? Now might be the time to explore change.
Hi, my name is Ben, and I appreciate you coming to see what I am about! Helping people has always been my passion and has guided my career and life. As an intern therapist, my approach to people is rooted in curiosity and empathy. We all have stories that deserve to be heard and new ones waiting to be told. Are you struggling in your life journey? Need help navigating relationships? Feeling stuck? Now might be the time to explore change.
(587) 813-4580 View (587) 813-4580
Photo of Alyssa Lightfoot, Student, Psychologist
Alyssa Lightfoot
Psychologist, Student
Verified Verified
Cochrane, AB T4C
Hi, I’m Alyssa (she/her), and I’m so glad you’re here. Before pursuing my Master of Counselling, I spent five years as a teacher, where I discovered my passion for supporting mental health and helping students through social and emotional challenges. As someone who was diagnosed later in life with autism and ADHD, my own mental health journey further inspired me to help neurodivergent individuals lead more authentic lives. I believe education is powerful, and most of us were never taught about our mental health. However, learning to understand our mind can give us the tools to live life more vulnerably, honestly, and authentically.
Hi, I’m Alyssa (she/her), and I’m so glad you’re here. Before pursuing my Master of Counselling, I spent five years as a teacher, where I discovered my passion for supporting mental health and helping students through social and emotional challenges. As someone who was diagnosed later in life with autism and ADHD, my own mental health journey further inspired me to help neurodivergent individuals lead more authentic lives. I believe education is powerful, and most of us were never taught about our mental health. However, learning to understand our mind can give us the tools to live life more vulnerably, honestly, and authentically.
(587) 803-1302 View (587) 803-1302
Photo of Margherita Duesbury, MA, MACP, BA Hons, CCC, Pre-Licensed Professional
Margherita Duesbury
Pre-Licensed Professional, MA, MACP, BA Hons, CCC
Verified Verified
Online Only
As a counseling intern with the Centre for Mental Health and Addictions, I am pleased to offer unlimited individual, couples, and family counseling services at NO COST. I work with a wide range of concerns, including—but not limited to—anxiety, depression, burnout, stress, and relationship or family-related challenges. With an extensive academic background in Mental Health, Health Studies, and Gerontology my training and experience have shaped a comprehensive, holistic approach to mental health care, grounded in trauma-informed practices and Solution-Focused Therapy.
As a counseling intern with the Centre for Mental Health and Addictions, I am pleased to offer unlimited individual, couples, and family counseling services at NO COST. I work with a wide range of concerns, including—but not limited to—anxiety, depression, burnout, stress, and relationship or family-related challenges. With an extensive academic background in Mental Health, Health Studies, and Gerontology my training and experience have shaped a comprehensive, holistic approach to mental health care, grounded in trauma-informed practices and Solution-Focused Therapy.
(587) 815-4620 View (587) 815-4620
Photo of Christa Todd-Savoia, MA, RPsych, Psychologist
Christa Todd-Savoia
Psychologist, MA, RPsych
Verified Verified
Cochrane, AB T4C
My purpose is to assist people in restoring their wellness, in all its many forms. I work collaboratively with my clients to identify their goals for therapy and choose the most helpful, individualized interventions that will allow them rediscover their inner strength and resilience, as they work through their current difficulties. I work from a "whole person" perspective, addressing the totality of an individual's mind, body, psyche, and spirit. Over my 20+ year career, I have had the fortune of working with individuals experiencing eating disorders, depression, anxiety, workplace injuries, and trauma-related issues, such as PTSD.
My purpose is to assist people in restoring their wellness, in all its many forms. I work collaboratively with my clients to identify their goals for therapy and choose the most helpful, individualized interventions that will allow them rediscover their inner strength and resilience, as they work through their current difficulties. I work from a "whole person" perspective, addressing the totality of an individual's mind, body, psyche, and spirit. Over my 20+ year career, I have had the fortune of working with individuals experiencing eating disorders, depression, anxiety, workplace injuries, and trauma-related issues, such as PTSD.
(587) 405-3819 View (587) 405-3819
Photo of Tina Virjee, MACP, Psychologist
Tina Virjee
Psychologist, MACP
Verified Verified
Cochrane, AB T4C
Whether facing challenges or striving for personal growth, seeking support is a sign of strength. I view the counselling process as a collaboration between client and therapist to construct an achievable path to meet individualized needs. The importance of recognizing and utilizing personal strengths to achieve goals is a key to success. Over the last 20 years, I have gained experience working with adolescents and their families in Corrections and in Calgary area high schools. As a therapist, I help individuals and families identify challenges, foster healthy communication, promote understanding, and strengthen relationship bonds.
Whether facing challenges or striving for personal growth, seeking support is a sign of strength. I view the counselling process as a collaboration between client and therapist to construct an achievable path to meet individualized needs. The importance of recognizing and utilizing personal strengths to achieve goals is a key to success. Over the last 20 years, I have gained experience working with adolescents and their families in Corrections and in Calgary area high schools. As a therapist, I help individuals and families identify challenges, foster healthy communication, promote understanding, and strengthen relationship bonds.
(587) 872-8139 View (587) 872-8139

See more therapy options for T4C

How does your Counsellor compare?

Number of Counsellors in T4C

100+

Average cost per session

$220

Counsellors in T4C who prioritize treating:

94% Anxiety
91% Depression
84% Self Esteem
81% Stress
73% Relationship Issues
72% Trauma and PTSD
70% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

73% Green Shield Canada
71% Alberta Blue Cross
50% Medavie Blue Cross

How Counsellors in T4C see their clients

91% In Person and Online
9% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in T4C?

Search for nearby therapists or counsellors by inputting your city, postal code, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postal code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are certified by one of the main professional associations, mainly the Canadian Counselling and Psychotherapy Association (CCPA), and will have a Certified Canadian Counsellor (CCC) designation with their name. Social Workers listed in the directory must be registered members of the college specific to their province. To be listed in the directory, Psychologists must be registered with the psychological college specific to their province or territory.

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Psychologists, counsellors, psychotherapists and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in Canada.

Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, the cost of a therapy session in Canada could be between $100 and $200. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postal code.

Are therapy sessions confidential?

Professionals licensed by regulatory colleges and those certified by associations such as the Canadian Counselling and Psychotherapy Association are obligated to uphold client confidentiality unless there is a legal reason that requires them to disclose information. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there is the potential or known harm to the client or others, or a court order, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.